Vass C, Györe I
Zala Megyei Kórház Szülészet-Nögyógyászati Osztály, Zalaegerszeg.
Orv Hetil. 1997 Dec 28;138(52):3307-9.
The authors report the case of a 46-year old woman, who went with diffuse complaints to the endocrinology department. The laboratory date showed hyperthyroidism. She had hypogastric complaints, therefore a gynecological consultation was carried out. An infant--head sized elastic formation was found on the left hand side next to a female fist sized myomatous uterus. On sonographic examination the growth proved to have a size of 12 x 14 cm. Besides the myomatous uterus the histology of the operative specimen confirmed a left sided ovarious teratoma, which was composed solely of usual thyroid tissue. After the operation it the patient's endocrine disorders became spontaneously regulated. Our attention to called the fact that especially in case of therapy resistant hyperthyroidism we should think of this infrequent clinical picture.
作者报告了一名46岁女性的病例,该患者因全身不适前往内分泌科就诊。实验室检查结果显示甲状腺功能亢进。她有下腹部不适症状,因此进行了妇科会诊。在一个拳头大小的子宫肌瘤旁左侧发现了一个婴儿头大小的弹性肿物。超声检查显示该肿物大小为12×14厘米。除子宫肌瘤外,手术标本的组织学检查证实左侧为卵巢畸胎瘤,其仅由正常甲状腺组织构成。手术后患者的内分泌紊乱自行得到调节。我们提请注意这样一个事实,即特别是在治疗抵抗性甲状腺功能亢进的情况下,应考虑到这种罕见的临床表现。